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THE HOSPITAL OF CENTRAL CONNECTICUT HEALTH BENEFIT PLAN 401k Plan overview

Plan NameTHE HOSPITAL OF CENTRAL CONNECTICUT HEALTH BENEFIT PLAN
Plan identification number 501

THE HOSPITAL OF CENTRAL CONNECTICUT HEALTH BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

401k Sponsoring company profile

THE HOSPITAL OF CENTRAL CONNECTICUT has sponsored the creation of one or more 401k plans.

Company Name:THE HOSPITAL OF CENTRAL CONNECTICUT
Employer identification number (EIN):060646768
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE HOSPITAL OF CENTRAL CONNECTICUT HEALTH BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012014-01-01TRISH WETTLAUFER
5012013-01-01WILLIAM LOCKHART
5012012-01-01MARY MORGAN
5012011-01-01ELIZABETH LYNCH
5012009-01-01BRIAN ROGOZ BRIAN ROGOZ2010-07-27
5012009-01-01BRIAN ROGOZ BRIAN ROGOZ2010-07-27

Plan Statistics for THE HOSPITAL OF CENTRAL CONNECTICUT HEALTH BENEFIT PLAN

401k plan membership statisitcs for THE HOSPITAL OF CENTRAL CONNECTICUT HEALTH BENEFIT PLAN

Measure Date Value
2014: THE HOSPITAL OF CENTRAL CONNECTICUT HEALTH BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-012,177
Total number of active participants reported on line 7a of the Form 55002014-01-010
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-010
2013: THE HOSPITAL OF CENTRAL CONNECTICUT HEALTH BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-011,819
Total number of active participants reported on line 7a of the Form 55002013-01-012,157
Number of retired or separated participants receiving benefits2013-01-0120
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-012,177
2012: THE HOSPITAL OF CENTRAL CONNECTICUT HEALTH BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-011,819
Total number of active participants reported on line 7a of the Form 55002012-01-012,157
Number of retired or separated participants receiving benefits2012-01-0120
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-012,177
2011: THE HOSPITAL OF CENTRAL CONNECTICUT HEALTH BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-011,792
Total number of active participants reported on line 7a of the Form 55002011-01-011,819
Number of retired or separated participants receiving benefits2011-01-0114
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-011,833
2009: THE HOSPITAL OF CENTRAL CONNECTICUT HEALTH BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-011,832
Total number of active participants reported on line 7a of the Form 55002009-01-011,854
Number of retired or separated participants receiving benefits2009-01-0119
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-011,873

Form 5500 Responses for THE HOSPITAL OF CENTRAL CONNECTICUT HEALTH BENEFIT PLAN

2014: THE HOSPITAL OF CENTRAL CONNECTICUT HEALTH BENEFIT PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingYes
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planYes
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: THE HOSPITAL OF CENTRAL CONNECTICUT HEALTH BENEFIT PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planYes
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: THE HOSPITAL OF CENTRAL CONNECTICUT HEALTH BENEFIT PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planYes
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: THE HOSPITAL OF CENTRAL CONNECTICUT HEALTH BENEFIT PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planYes
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – General assets of the sponsorYes
2009: THE HOSPITAL OF CENTRAL CONNECTICUT HEALTH BENEFIT PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planYes
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – General assets of the sponsorYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number005869
Policy instance 1
Insurance contract or identification number005869
Number of Individuals Covered4211
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $277,403
Total amount of fees paid to insurance companyUSD $12,417
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $27,740,372
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CONNECTICARE, INC. (National Association of Insurance Commissioners NAIC id number: 95675 )
Policy contract number005869
Policy instance 1
Insurance contract or identification number005869
Number of Individuals Covered4370
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $262,168
Total amount of fees paid to insurance companyUSD $38,645
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $26,216,810
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $262,168
Amount paid for insurance broker fees38645
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
Insurance broker nameWILLIS OF CONNECTICUT, LLC

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